Nursing home
Avir at Tierra Este
14300 Pebble Hills Blvd, El Paso, TX 79938 · Map
For profit - Limited Liability company · Part of Avir Health Group (90 facilities) · 120 certified beds
Avir at Tierra Este is a Medicare-certified nursing home in El Paso, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.93 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 5, 2025 cited 11 deficiencies.
- 7 fines totaling $31,752In CMS records: 8 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Tierra Este compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.93 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.21 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.75 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 68.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 7 fines totaling $31,752, 8 total penalties, 1 Medicare payment denial.
What inspectors found at Avir at Tierra Este
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Apr 1, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 14300 Pebble Hills Blvd
El Paso, TX 79938 - CMS certification #
- 745038
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 98.5
- Provider type
- Medicare and Medicaid
- First certified
- 2023-06-06
- Chain
- Avir Health Group (90 facilities)
- Setting
- Urban
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Tierra Este using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Tierra Este says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Comfort-focused, 24/7 nursing care that balances professional oversight with respect for individual dignity and preferences.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms with Privacy Dividers
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- The Hospitals Of Providence - East Campus, El Paso. 2.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Center at Zaragoza, LLC, El Paso. 1.8 miles away, straight line.
- Nearest home health agency office
- Care At Heart Home Health Services, El Paso. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 79938 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Montana Vista Dialysis, El Paso, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita East Dialysis Clinic, El Paso, 4.7 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Horizon Dialysis, El Paso, 6.0 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 25 Medicare hospices tell CMS they serve ZIP code 79938.
Matrix Home Health Services, office in El Paso, 3.9 miles away, straight line
Three Oaks Hospice, office in El Paso, 4.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Faith Hospice Inc., office in El Paso, 4.7 miles away, straight line - Nearest geriatric medicine practice
- Ipc Healthcare Services Of Texas PLLC, El Paso. 7.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado very low, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Tierra Este a good nursing home?
CMS gives Avir at Tierra Este an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Tierra Este staffed?
Avir at Tierra Este reports 2.93 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Tierra Este had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Avir at Tierra Este have?
Avir at Tierra Este is certified for 120 beds.